Post-Molar Pregnancy D&C: Symptoms and When to Seek Help - Obstetrics and Gynecology

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After undergoing a dilation and curettage (D&C) procedure for a molar pregnancy, it's essential to monitor your symptoms closely. A molar pregnancy, which occurs when there is an abnormal growth of trophoblastic tissue, can lead to various complications, including excessive bleeding and the potential for gestational trophoblastic disease.
In your case, experiencing increased bleeding after the procedure is concerning. While some bleeding is expected following a D&C, particularly after a molar pregnancy, the amount and duration should be monitored. If the bleeding becomes heavier than a normal menstrual period, or if you pass large clots, it is crucial to seek medical attention immediately.
The headache and fatigue you are experiencing could be related to several factors. Post-operative pain, hormonal changes, or even dehydration can contribute to these symptoms. However, persistent or severe headaches, especially if accompanied by other symptoms such as visual disturbances, nausea, or changes in consciousness, should not be ignored. These could indicate complications such as infection or, in rare cases, a more serious condition like a retained product of conception or gestational trophoblastic neoplasia.

It is also important to consider the emotional and psychological impact of a molar pregnancy and the subsequent D&C. Many women experience a range of emotions, including grief, anxiety, and fear about future pregnancies. It is advisable to discuss these feelings with your healthcare provider, who can offer support and resources, including counseling if needed.

In terms of when to seek help, you should contact your healthcare provider if you experience any of the following symptoms:
1. Heavy Bleeding: Soaking through one or more pads in an hour for two consecutive hours.

2. Severe Pain: Pain that is not relieved by over-the-counter pain medications or is worsening.

3. Fever: A temperature above 100.4°F (38°C) could indicate an infection.

4. Foul-smelling discharge: This could also suggest an infection.

5. Dizziness or fainting: These symptoms could indicate significant blood loss or other complications.

In summary, while some post-operative symptoms are normal, it is vital to remain vigilant and proactive about your health following a D&C for a molar pregnancy. If you have any doubts or concerns about your symptoms, do not hesitate to reach out to your healthcare provider for guidance. Your health and well-being are paramount, and timely intervention can prevent complications.